Peritoneal Line Change

  1. Do you routinely change the "patient line" when they have had peritonitis? We have a policy of changing "the line" every six months or when contaminated, but nothing in regards to peritonitis.
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    About Farkinott

    Joined: Oct '03; Posts: 666; Likes: 27
    Registered Nurse
    Specialty: 22 year(s) of experience in renal, haemo and peritoneal,medical,aged

    1 Comments

  3. by   km5v6r
    Quote from Farkinott
    Do you routinely change the "patient line" when they have had peritonitis? We have a policy of changing "the line" every six months or when contaminated, but nothing in regards to peritonitis.
    All replies welome.
    Thanks
    By "change the line" do you mean the entire PD catheter as in take them to OR etc or do you mean the transfer set? Either way the answer is "depends". What cultured out of the PD fluid? Was there a possible break in technique causing the peritonitis or was it from a bowel bug? If the peritonitis can't be cleared then the catheter may well be seeded and have to be removed. If it is a sensitive bowel bug we may just treat that and wait to get a no growth culture. Changing the transfer set is relatively easy and we do it at the smallest question of contamination.

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